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D. Results of Testing/Servicing <br />Software Version Installed: 132.00 <br />Complete the following checklist: <br />HtctIVE� i <br />JUN 0 9 2015 <br />ENVIRONMENTAL, <br />E Yes <br />❑ No' <br />Is the audible alarm operational? <br />ki Yes <br />❑ No' <br />Is the visual alarm operational? <br />U Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />fl Yes <br />❑ No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />proper operation? <br />Ki Yes <br />❑ No' <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />❑ N/A <br />.0 Yes <br />❑ No' <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />❑ N/A <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) <br />dUSump/Trench Sensors; E]Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? ®Yes; ONO. <br />jo Yes <br />❑ No' <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />❑ N/A <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm trigger? so % <br />C Yes` <br />❑ No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes' <br />)G No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) mProduct; GWater. If <br />es, describe causes in Section E, below. <br />)❑ Yes <br />1 ❑ No' <br />I Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />El Yes <br />I ❑ No' <br />I Is all monitoring equipment operational per manufacturer's specifications? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />Comments: <br />Monitoring System Certification Page of 12/07 <br />